diff --git a/src/store/getters.js b/src/store/getters.js
index 2d0a5744..70d1a6bd 100644
--- a/src/store/getters.js
+++ b/src/store/getters.js
@@ -50,6 +50,8 @@ const getters = {
   IsFirstSysDocNeedSign: state => state.user.IsFirstSysDocNeedSign,
   TrialStatusStr: state => state.user.TrialStatusStr,
   lastViewportTaskId: state => state.noneDicomReview.lastViewportTaskId,
-  currentTaskState: state => state.noneDicomReview.currentTaskState
+  currentTaskState: state => state.noneDicomReview.currentTaskState,
+  operateInfo: state => state.dicom3d.operateInfo,
+  deleteAnnotationIds: state => state.dicom3d.deleteAnnotationIds
 }
 export default getters
diff --git a/src/store/index.js b/src/store/index.js
index 9a91ddcd..d4c9477c 100644
--- a/src/store/index.js
+++ b/src/store/index.js
@@ -13,6 +13,7 @@ import financials from './modules/financials'
 import reading from './modules/reading'
 import lang from './modules/lang'
 import noneDicomReview from './modules/noneDicomReview'
+import dicom3d from './modules/dicom3d'
 Vue.use(Vuex)
 
 const store = new Vuex.Store({
@@ -28,7 +29,8 @@ const store = new Vuex.Store({
     financials,
     reading,
     lang,
-    noneDicomReview
+    noneDicomReview,
+    dicom3d
   },
   getters
 })
diff --git a/src/store/modules/dicom3d.js b/src/store/modules/dicom3d.js
new file mode 100644
index 00000000..486a5c08
--- /dev/null
+++ b/src/store/modules/dicom3d.js
@@ -0,0 +1,28 @@
+const getDefaultState = () => {
+  return {
+    operateInfo: {},
+    deleteAnnotationIds: []
+  }
+}
+const state = getDefaultState
+
+const mutations = {
+
+}
+
+const actions = {
+  setOperateInfo({ state }, obj) {
+    state.operateInfo = Object.assign({}, obj)
+  },
+  setDeleteAnnotationIds({ state }, arr) {
+    state.deleteAnnotationIds = Object.assign({}, obj)
+  },
+}
+
+export default {
+  namespaced: true,
+  state,
+  mutations,
+  actions
+}
+
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
index 9eba66c0..466ff424 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/ReadPage.vue
@@ -438,6 +438,7 @@
                 @resetAnnotations="resetAnnotations"
                 @setReadingTaskState="setReadingTaskState"
                 @viewCustomAnnotationSeries="viewCustomAnnotationSeries"
+                @getCustomScreenshots="getCustomScreenshots"
                 @setReadingToolActive="setReadingToolActive"
                 @setReadingToolPassive="setReadingToolPassive"
               />
@@ -562,6 +563,8 @@ import * as cornerstoneTools from '@cornerstonejs/tools'
 import initLibraries from '@/views/trials/trials-panel/reading/dicoms/components/Fusion/js/initLibraries'
 import html2canvas from 'html2canvas'
 import { getTools, getCustomizeStandardsTools, config } from './toolConfig'
+import { mapGetters } from 'vuex'
+import store from '@/store'
 import StudyList from './StudyList'
 import Viewport from './Viewport'
 import PetCtViewport from './PetCtViewport'
@@ -751,7 +754,7 @@ export default {
     },
     viewportKey() {
       return this.isFusion ? 'viewport-fusion' : 'viewport'
-    }
+    },
   },
   watch: {
     activeTaskId: {
@@ -1450,15 +1453,19 @@ export default {
         annotation.numberOfFrames = isNaN(parseInt(params.frame)) ? null : parseInt(params.frame)
         annotation.markTool = annotation.metadata.toolName
         this.markedSeriesIds.push(series.Id)
-        const markName = await this.customPrompt()
+        const operateStateEnum = this.$refs[`ecrf_${this.taskInfo.VisitTaskId}`][0].operateStateEnum
+        const markName = await this.customPrompt(!this.isNumber(operateStateEnum))
 
         if (markName) {
           annotation.data.label = markName
           if (annotation.metadata.toolName === 'ArrowAnnotate') {
             annotation.data.text = markName
           }
-          this.saveCustomAnnotation(annotation)
-          this.$refs[`ecrf_${series.TaskInfo.VisitTaskId}`][0].bindAnnotationToQuestion(annotation)
+          if (this.isNumber(operateStateEnum)) {
+            this.$refs[`ecrf_${series.TaskInfo.VisitTaskId}`][0].bindAnnotationToQuestion(annotation)
+          } else {
+            this.saveCustomAnnotation(annotation)
+          }
         }
       }
 
@@ -1500,8 +1507,13 @@ export default {
       if (annotation.metadata.toolName === 'PlanarFreehandROI' && !annotation.data.contour.closed) return
       const series = this.$refs[`${this.viewportKey}-${this.activeViewportIndex}`][0].series
       if (series && series.TaskInfo.VisitTaskId && series.TaskInfo.VisitTaskId === this.taskInfo.VisitTaskId) {
-        this.saveCustomAnnotation(annotation)
-        this.$refs[`ecrf_${series.TaskInfo.VisitTaskId}`][0].updateAnnotationToQuestion(annotation)
+        const operateStateEnum = this.$refs[`ecrf_${this.taskInfo.VisitTaskId}`][0].operateStateEnum
+        const isBound = this.$refs[`ecrf_${annotation.visitTaskId}`][0].verifyAnnotationIsBound(annotation)
+        if (isBound || this.isNumber(operateStateEnum)) {
+          this.$refs[`ecrf_${series.TaskInfo.VisitTaskId}`][0].updateAnnotationToQuestion(annotation)
+        } else {
+          this.saveCustomAnnotation(annotation)
+        }
       }
       this.setToolsPassive()
     },
@@ -1521,7 +1533,7 @@ export default {
         }
         if (annotation.visitTaskId === this.taskInfo.VisitTaskId) {
           const isBound = this.$refs[`ecrf_${annotation.visitTaskId}`][0].verifyAnnotationIsBound(annotation)
-          if (isBound) {
+          if (isBound && this.activeTool === 'Eraser') {
             this.$alert('该标记已与问题进行绑定，不允许删除！')
             const errorMsg = { message: 'annotation Not allowed to operate' }
             throw errorMsg
@@ -2589,6 +2601,23 @@ export default {
         this.$refs[series.TaskInfo.VisitTaskId][0].setSeriesActive(series.StudyIndex, series.SeriesIndex)
       }
     },
+    async getCustomScreenshots(obj, callback) {
+      const i = this.visitTaskList.findIndex(i => i.VisitTaskId === obj.visitTaskId)
+      if (i === -1) return
+      const studyList = this.visitTaskList[i].StudyList
+      const series = this.getMarkedSeries(studyList, obj.annotation)
+      if (series) {
+        this.$refs[`${this.viewportKey}-${this.cells.length - 1}`][0].setSeriesInfo(series, true)
+        this.activeViewportIndex = i
+        this.$refs[series.TaskInfo.VisitTaskId][0].setSeriesActive(series.StudyIndex, series.SeriesIndex)
+        const divForDownloadViewport = document.querySelector(
+          `div[data-viewport-uid="${this.viewportKey}-${this.activeViewportIndex}"]`
+        )
+        const canvas = await html2canvas(divForDownloadViewport)
+        const base64Str = canvas.toDataURL('image/png', 1)
+        callback(base64Str)
+      }
+    },
     async getScreenshots(measureData, callback) {
       if (measureData) {
         await this.imageLocation(measureData)
@@ -2787,12 +2816,13 @@ export default {
       return params
     },
     // 输入标记名称自定义弹窗
-    async customPrompt() {
+    async customPrompt(isShowCancelButton = true) {
       try {
         const that = this
         // 请输入标记名称
         const { value } = await this.$prompt(this.$t('trials:noneDicom:message:msg1'), '', {
           showClose: false,
+          showCancelButton: isShowCancelButton,
           beforeClose: (action, instance, done) => {
             if (action === 'confirm') {
               const value = instance.inputValue
@@ -2813,6 +2843,9 @@ export default {
         return null
       }
     },
+    isNumber(value) {
+      return typeof value === 'number' && value !== null && !isNaN(value)
+    },
     showPanel(e, toolName) {
       if (toolName === 'layout' && this.isFusion) return false
       e.currentTarget.firstChild.lastChild.style.display = 'block'
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
index fb4cf890..5edd289e 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionFormItem.vue
@@ -54,12 +54,64 @@
             <el-button type="text" size="mini" @click="openAddTableCol(question, scope.$index)">
               {{$t('common:button:edit')}}
             </el-button>
-            <el-button type="text" size="mini" v-if="scope.row.IsCurrentTaskAdd === 'True' || !question.IsCopyLesions || isBaseline" @click="deleteTableCol(question, scope.$index)">
+            <el-button type="text" size="mini" :disabled="addOrEdit.visible" v-if="scope.row.IsCurrentTaskAdd === 'True' || !question.IsCopyLesions || isBaseline" @click="deleteTableCol(question, scope.$index)">
               {{$t('common:button:delete')}}
             </el-button>
           </template>
         </el-table-column>
       </el-table>
+      <el-dialog
+        v-if="addOrEdit.visible"
+        v-dialogDrag
+        :title="addOrEdit.title"
+        :visible.sync="addOrEdit.visible"
+        :close-on-click-modal="false"
+        :close-on-press-escape="false"
+        width="400px"
+        :modal="false"
+        :before-close="beforeClose"
+      >
+      <div>
+        <el-form
+          ref="tableQsForm"
+          :model="QuestionsForm"
+          v-loading="loading"
+          size="small"
+        >
+          <QuestionTableFormItem
+            v-for="(item) in QuestionsList"
+            :key="item.Id"
+            :question="item"
+            :parentQsId="parentQsId"
+            :isBaseline="isBaseline"
+            :reading-task-state="readingTaskState"
+            :question-form="QuestionsForm"
+            :visit-task-id="visitTaskId"
+            :criterion-id="criterionId"
+            :type="addOrEdit.type"
+            :calculationList="calculationList"
+            :questionsMarkStatus="questionsMarkStatus"
+            @formItemTableNumberChange="formItemTableNumberChange"
+            @resetFormItemData="resetTableFormItemData"
+            @setFormItemData="setFormTableItemData"
+            @operateImageMarker="operateImageMarker"
+            @save="save"
+          />
+        </el-form>
+        </div>
+        <div slot="footer" >
+          <el-button
+            size="small"
+            @click="handleCancel"
+          >
+            {{ $t('common:button:cancel') }}
+          </el-button>
+          <!-- 保存 -->
+          <el-button size="small" class="my_upload_btn" @click="handleSave">
+            {{ $t('common:button:save') }}
+          </el-button>
+        </div>
+      </el-dialog>
     </div>
     <template v-else>
       <el-form-item
@@ -234,7 +286,7 @@
               @change="(val) => { formItemNumberChange(val, question) }"
               @blur="questionsMarkStatus[question.Id] && questionsMarkStatus[question.Id].isMarked ? ()=>{} : handleMarkedQsBlur(questionForm[question.Id], questionForm, question.Id, question) "
               v-model="questionForm[question.Id]"
-              :disabled="(questionsMarkStatus[question.Id].isMarked && question.ImageMarkEnum === 2) || question.ImageMarkEnum === 1"
+              :disabled="(questionsMarkStatus[question.Id] && questionsMarkStatus[question.Id].isMarked && question.ImageMarkEnum === 2) || question.ImageMarkEnum === 1"
               style="width: 150px;"
             >
               <template v-if="question.Unit !== 0" slot="append">
@@ -243,7 +295,7 @@
             </el-input>
             <!-- 测量 -->
             <el-button 
-              v-if="readingTaskState < 2 && (!questionsMarkStatus[question.Id].isMarked)" 
+              v-if="readingTaskState < 2 && (!questionsMarkStatus[question.Id] || (questionsMarkStatus[question.Id] && !questionsMarkStatus[question.Id].isMarked))" 
               size="mini" 
               type="text"
               @click="operateImageMarker({operateStateEnum: 1, question})"
@@ -252,7 +304,7 @@
             </el-button>
             <!-- 绑定 -->
             <el-button 
-              v-if="readingTaskState < 2 && (!questionsMarkStatus[question.Id].isMarked)" 
+              v-if="readingTaskState < 2 && (!questionsMarkStatus[question.Id] || (questionsMarkStatus[question.Id] && !questionsMarkStatus[question.Id].isMarked))" 
               size="mini" 
               type="text"
               @click="operateImageMarker({operateStateEnum: 0, question})"
@@ -261,7 +313,7 @@
             </el-button>
             <!-- 查看 -->
             <el-button 
-              v-if="questionsMarkStatus[question.Id].isMarked"
+              v-if="questionsMarkStatus[question.Id] && questionsMarkStatus[question.Id].isMarked"
               size="mini" 
               type="text"
               @click="operateImageMarker({operateStateEnum: 2, question})"
@@ -270,7 +322,7 @@
             </el-button>
             <!-- 更改 -->
             <el-button 
-              v-if="readingTaskState < 2 && (questionsMarkStatus[question.Id].isMarked)" 
+              v-if="readingTaskState < 2 && (questionsMarkStatus[question.Id] && questionsMarkStatus[question.Id].isMarked)" 
               size="mini" 
               type="text"
               @click="operateImageMarker({operateStateEnum: 3, question})"
@@ -279,7 +331,7 @@
             </el-button>
             <!-- 移除 -->
             <el-button 
-              v-if="readingTaskState < 2 && (questionsMarkStatus[question.Id].isMarked)" 
+              v-if="readingTaskState < 2 && (questionsMarkStatus[question.Id] && questionsMarkStatus[question.Id].isMarked)" 
               size="mini" 
               type="text"
               @click="operateImageMarker({operateStateEnum: 4, question})"
@@ -288,12 +340,12 @@
             </el-button>
             <!-- 保存 -->
             <el-button 
-              v-if="readingTaskState < 2 && !questionsMarkStatus[question.Id].isSaved" 
+              v-if="readingTaskState < 2 && (questionsMarkStatus[question.Id] && !questionsMarkStatus[question.Id].isSaved)" 
               size="mini" 
               type="text"
               @click="operateImageMarker({operateStateEnum: 5, question})"
             >
-              <el-tooltip v-if="!questionsMarkStatus[question.Id].isSaved" class="item" effect="dark" :content="$t('trials:reading:button:unsaved')" placement="bottom">
+              <el-tooltip v-if="questionsMarkStatus[question.Id] && !questionsMarkStatus[question.Id].isSaved" class="item" effect="dark" :content="$t('trials:reading:button:unsaved')" placement="bottom">
                 <i class="el-icon-warning" style="color:red" />
               </el-tooltip>
               保存
@@ -378,51 +430,20 @@
         @resetFormItemData="resetFormItemData"
         @getQuestions="getQuestions"
         @operateImageMarker="operateImageMarker"
+        @unBindAnnotationToQuestion="unBindAnnotationToQuestion"
       />
     </template>
-    <base-model :config="addOrEdit"
+    
+    <!-- <base-model :config="addOrEdit"
       class="my_dialog"
       :close-on-click-modal="false"
+      :close-on-press-escape="false"
       width="400px"
-      append-to-body
+      :modal="false"
+      v-dialogDrag
     >
-      <template slot="dialog-body">
-        <el-form
-            ref="tableQsForm"
-            :model="QuestionsForm"
-            v-loading="loading"
-            size="small"
-        >
-          <QuestionTableFormItem
-              v-for="(item) in QuestionsList"
-              :key="item.Id"
-              :question="item"
-              :isBaseline="isBaseline"
-              :reading-task-state="readingTaskState"
-              :question-form="QuestionsForm"
-              :visit-task-id="visitTaskId"
-              :criterion-id="criterionId"
-              :type="addOrEdit.type"
-              :calculationList="calculationList"
-              @formItemTableNumberChange="formItemTableNumberChange"
-              @resetFormItemData="resetTableFormItemData"
-              @setFormItemData="setFormTableItemData" 
-          />
-        </el-form>
-      </template>
-      <template slot="dialog-footer">
-        <el-button
-            size="small"
-            @click="addOrEdit.visible = false"
-        >
-          {{ $t('common:button:cancel') }}
-        </el-button>
-        <!-- 保存 -->
-        <el-button size="small" class="my_upload_btn" @click="handleSave">
-          {{ $t('common:button:save') }}
-        </el-button>
-      </template>
-    </base-model>
+      
+    </base-model> -->
     <!-- 预览文件 -->
     <el-dialog
       v-if="previewVisible"
@@ -446,10 +467,12 @@
   </div>
 </template>
 <script>
-import { deleteReadingRowAnswer, getQuestionCalculateRelation, submitTableQuestion } from '@/api/trials'
+import { deleteReadingRowAnswer, getQuestionCalculateRelation, submitTableQuestion, deleteCustomTag } from '@/api/trials'
 import QuestionTableFormItem from './QuestionTableFormItem'
 import BaseModel from '@/components/BaseModel'
 import PreviewFile from '@/components/PreviewFile/index'
+import { mapGetters } from 'vuex'
+import store from '@/store'
 export default {
   name: 'QuestionFormItem',
   components: { QuestionTableFormItem, BaseModel, PreviewFile },
@@ -517,9 +540,14 @@ export default {
       classArr: [],
       previewVisible: false,
       currentPath: '',
-      currentType: ''
+      currentType: '',
+      markTableQuestions: [],
+      parentQsId: ''
     }
   },
+  computed: {
+    ...mapGetters(['operateInfo'])
+  },
   watch: {
     questionForm: {
       deep: true,
@@ -547,8 +575,32 @@ export default {
       handler(v, oldv) {
         // console.log(v)
       }
+    },
+    operateInfo: {
+      immediate: true,
+      handler(v) {
+        
+        
+        const { parentQsId, rowId } = v
+        if (this.question.Id !== parentQsId) return
+        
+        if (this.addOrEdit.visible) {
+          // 如果不是当前窗口绑定的标记如何处理？
+          this.setAnswerToQuestion(v)
+        } else {
+          // 激活弹窗
+          // const { parentQsId, rowId } = v
+          if (!parentQsId && !rowId) return
+          let arr = this.questionForm[parentQsId]
+          if (!arr || !Array.isArray(arr)) return
+          let i = arr.findIndex(i=>i.RowId === rowId)
+          if (i === -1) return
+          this.openAddTableCol(this.question, i)
+        }
+      }
     }
   },
+  
   mounted() {
     var digitPlaces = Number(localStorage.getItem('digitPlaces'))
     this.digitPlaces = digitPlaces === -1 ? this.digitPlaces : digitPlaces
@@ -605,25 +657,39 @@ export default {
       this.$set(a, b, parseFloat(value).toFixed(this.digitPlaces))
       this.$emit('operateImageMarker', {operateStateEnum: 6, question})
     },
-    deleteTableCol(row, index) {
-      this.$confirm(this.$t('trials:uploadNonDicoms:message:msg1')).then(() => {
-        const loading = this.$loading({ fullscreen: true })
-        var param = {
+    async deleteTableCol(row, index) {
+      let loading = null
+      try {
+        let confirm = await this.$confirm(this.$t('trials:uploadNonDicoms:message:msg1'))
+        if (confirm !== 'confirm') return
+        loading = this.$loading({ fullscreen: true })
+        let param = {
           visitTaskId: this.visitTaskId,
           questionId: row.Id,
           rowId: this.questionForm[row.Id][index].RowId
         }
-        deleteReadingRowAnswer(param)
-          .then(async res => {
-            if (res.IsSuccess) {
-              this.$message.success(this.$t('common:message:deletedSuccessfully'))
-              this.$emit('getQuestions')
-            }
-            loading.close()
-          }).catch(() => {
-          loading.close()
-        })
-      })
+        let res = await deleteReadingRowAnswer(param)
+        if (res.IsSuccess) {
+          // 判断是否有标记，存在则删除
+          // let deleteAnnotationIds = []
+          // let arr = this.questionMarkInfoList.filter(i=>i.RowId === this.questionForm[row.Id][index].RowId)
+          // for(let i = 0; i < arr.length; i++) {
+          //   if (arr[i].Id && arr[i].MeasureData) {
+          //     let measureData = arr[i].MeasureData
+          //     deleteAnnotationIds.push(measureData.annotationUID)
+          //     await deleteCustomTag(arr[i].Id)
+          //   }
+          // }
+          // store.dispatch('dicom3d/setDeleteAnnotationIds', deleteAnnotationIds)
+          // 标记与问题解除绑定
+          this.$message.success(this.$t('common:message:deletedSuccessfully'))
+          this.$emit('getQuestions')
+        }
+        loading.close()
+      } catch(e) {
+        loading ? loading.close() : ''
+        console.log(e)
+      }
 
     },
     setFormTableItemData(obj) {
@@ -679,12 +745,27 @@ export default {
     getQuestions() {
       this.$emit('getQuestions')
     },
-    handleSave() {
-      this.$refs.tableQsForm.validate(valid => {
+    async handleSave() {
+      let loading = null
+      try {
+        let valid = await this.$refs.tableQsForm.validate()
         if (!valid) return
-        const loading = this.$loading({ fullscreen: true })
-        var answers = []
-        var reg = new RegExp(/^[0-9a-zA-Z]{8}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{12}$/)
+        // 判断是否有标记未保存
+        let isExistUnSaved = false
+        for(let i = 0; i < this.markTableQuestions.length; i++) {
+          let keyId = this.QuestionsForm.RowId ? `${this.QuestionsForm.RowId}_${this.markTableQuestions[i]}` : this.markTableQuestions[i]
+          if (this.questionsMarkStatus[keyId] && !this.questionsMarkStatus[keyId].isSaved) {
+            isExistUnSaved = true
+            break
+          }
+        }
+        if (isExistUnSaved) {
+          this.$alert('存在标记信息未保存！')
+          return
+        }
+        loading = this.$loading({ fullscreen: true })
+        let answers = []
+        let reg = new RegExp(/^[0-9a-zA-Z]{8}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{12}$/)
         for (const k in this.QuestionsForm) {
           if (reg.test(k)) {
             if (answers.findIndex(i => i.tableQuestionId === k) === -1) {
@@ -692,8 +773,9 @@ export default {
             }
           }
         }
+        let params = null
         if (this.addOrEdit.type === 'edit') {
-          var params = {
+          params = {
             questionId: this.question.Id,
             RowIndex: parseInt(this.QuestionsForm.RowIndex),
             RowId: this.QuestionsForm.RowId,
@@ -702,22 +784,31 @@ export default {
             answerList: answers,
           }
         } else {
-          var params = {
+          params = {
             questionId: this.question.Id,
             RowIndex: this.questionForm[this.question.Id].length + 1,
+            RowId: this.QuestionsForm.RowId ? this.QuestionsForm.RowId : '',
             visitTaskId: this.visitTaskId,
             trialId: this.$route.query.trialId,
-            answerList: answers,
+            answerList: answers
           }
           this.QuestionsForm.RowIndex = this.questionForm[this.question.Id].length + 1
         }
-        submitTableQuestion(params).then(async res => {
+        let res = await submitTableQuestion(params)
+        if (res.IsSuccess) {
           this.$message.success(this.$t('common:message:savedSuccessfully'))
           this.QuestionsForm.RowId = res.Result.RowId
+          // this.$emit('getQuestions')
           this.save()
-          loading.close()
-        }).catch(() => { loading.close() })
-      })
+        }
+        loading.close()
+      } catch (e) {
+        loading ? loading.close() : ''
+        console.log(e)
+      }
+    },
+    saveRowInfo() {
+
     },
     renderHeader(h, obj) {
       let span = document.createElement('span')
@@ -749,6 +840,36 @@ export default {
         this.addOrEdit.visible = false
       })
     },
+    async handleCancel() {
+      // 判断是否有标记未保存
+      let isExistUnSaved = false
+      for(let i = 0; i < this.markTableQuestions.length; i++) {
+        let keyId = this.QuestionsForm.RowId ? `${this.QuestionsForm.RowId}_${this.markTableQuestions[i]}` : this.markTableQuestions[i]
+        if (this.questionsMarkStatus[keyId] && !this.questionsMarkStatus[keyId].isSaved) {
+          isExistUnSaved = true
+          break
+        }
+      }
+      if (isExistUnSaved) {
+        // this.$alert('存在标记信息未保存！')
+        const confirm = await this.$confirm('标记未保存是否确认关闭？', {
+          type: 'warning',
+          distinguishCancelAndClose: true
+        })
+        if (confirm !== 'confirm') return
+        // 清除绑定关系
+        let obj = {}
+        if (!this.QuestionsForm.RowId) {
+          obj.markTableQuestions = this.markTableQuestions
+          obj.questionId = this.question.Id
+          this.$emit('unBindAnnotationToQuestion', obj)
+        }
+        
+        this.addOrEdit.visible = false
+      } else {
+        this.addOrEdit.visible = false
+      }
+    },
     logic(rules, num = 0) {
       try {
         if (rules.CalculateQuestionList.length === 0) {
@@ -958,18 +1079,24 @@ export default {
       });
     },
     openAddTableCol(row, index) {
+      if (this.addOrEdit.visible) return
+      this.parentQsId = row.Id
       this.addOrEdit.visible = true
       this.addOrEdit.title = row.QuestionName + this.$t('trials:readingUnit:qsList:title:tableQs')
       this.QuestionsList = row.TableQuestions.Questions
+      this.markTableQuestions = []
       row.TableQuestions.Questions.map(v=>{
         if (v.Type === 'class') {
           this.classArr.push({triggerId: v.ClassifyTableQuestionId, classId: v.Id, classifyAlgorithms: v.ClassifyAlgorithms, classifyType: v.ClassifyType})
         }
+        if (v.ImageMarkEnum === 1 || v.ImageMarkEnum == 2) {
+          this.markTableQuestions.push(v.Id)
+        }
       })
       this.AnswersList = row.TableQuestions.Answers
       if (!index && index !== 0) {
         this.addOrEdit.type = 'add'
-        this.QuestionsForm = {}
+        this.QuestionsForm = {RowIndex: this.questionForm[this.question.Id].length + 1}
       } else {
         this.addOrEdit.type = 'edit'
         this.QuestionsForm = Object.assign({}, this.questionForm[row.Id][index])
@@ -1011,9 +1138,132 @@ export default {
     setFormItemData(obj) {
       this.$emit('setFormItemData', obj)
     },
-    operateImageMarker(obj) {
+    // async operateImageMarker(obj) {
+    //   if (obj.question.IsTableQuestion && obj.operateStateEnum === 4) {
+    //     // 移除表格问题标记
+    //     this.$set(this.QuestionsForm, obj.question.Id, null)
+    //   } else if (obj.question.IsTableQuestion && obj.operateStateEnum === 7 && obj.rowId) {
+
+    //     this.$set(this.QuestionsForm, 'RowId', obj.rowId)
+    //   }
+    //   this.$emit('operateImageMarker', obj)
+    // },
+    async operateImageMarker(obj) {
+      // if (obj.question.IsTableQuestion && this.question.Id !== obj.question.ParentQsId) return
+      
+      if (obj.question.IsTableQuestion && obj.operateStateEnum === 4) {
+        // 移除表格问题标记
+        this.$set(this.QuestionsForm, obj.question.Id, null)
+      } else if (obj.question.IsTableQuestion && obj.operateStateEnum === 7 && this.question.Id === obj.question.ParentQsId) {
+        if (!this.QuestionsForm.RowId) {
+          // 保存表格问题
+          let loading = null
+          try {
+            loading = this.$loading({ fullscreen: true })
+            let answers = []
+            let reg = new RegExp(/^[0-9a-zA-Z]{8}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{4}-[0-9a-zA-Z]{12}$/)
+            for (const k in this.QuestionsForm) {
+              if (reg.test(k)) {
+                if (answers.findIndex(i => i.tableQuestionId === k) === -1) {
+                  answers.push({ tableQuestionId: k, answer: this.QuestionsForm[k] })
+                }
+              }
+            }
+            let params = {
+              questionId: this.question.Id,
+              RowIndex: this.questionForm[this.question.Id].length + 1,
+              RowId: this.QuestionsForm.RowId ? this.QuestionsForm.RowId : '',
+              visitTaskId: this.visitTaskId,
+              trialId: this.$route.query.trialId,
+              answerList: answers
+            }
+            let res = await submitTableQuestion(params)
+            if (res.IsSuccess) {
+              this.QuestionsForm.RowId = res.Result.RowId
+              obj.rowId = res.Result.RowId
+              this.AnswersList.push(this.QuestionsForm)
+              this.$emit('setFormItemData', {key: this.question.Id, val: this.AnswersList, question: this.question})
+              this.formItemNumberChange(this.question.Id, true)
+            }
+            loading.close()
+          } catch(e) {
+            console.log(e)
+            loading.close()
+          }
+        } else {
+          let i = this.AnswersList.findIndex(i=>i.RowId === this.QuestionsForm.RowId)
+          this.AnswersList[i][obj.question.Id] = this.QuestionsForm[obj.question.Id]
+          this.$emit('setFormItemData', {key: this.question.Id, val: this.AnswersList, question: this.question})
+          this.formItemNumberChange(this.question.Id, true)
+        }
+        
+      }
       this.$emit('operateImageMarker', obj)
     },
+    
+    unBindAnnotationToQuestion(obj) {
+      this.$emit('unBindAnnotationToQuestion', obj)
+    },
+    setAnswerToQuestion(obj) {
+      console.log('setAnswerToQuestion')
+      let val = null
+      const {questionId, annotation} = obj
+      if (!questionId || !annotation) return
+      const referencedImageId = annotation.metadata.referencedImageId
+      if (annotation.metadata.toolName === 'Length') {
+        let length = annotation.data.cachedStats[`imageId:${referencedImageId}`].length
+        val = length ? parseFloat(length).toFixed(this.digitPlaces) : length
+        
+      } else if (annotation.metadata.toolName === 'Bidirectional') {
+        if (obj.imageToolAttribute === 'length') {
+          let length = annotation.data.cachedStats[`imageId:${referencedImageId}`].length
+          val = length ? parseFloat(length).toFixed(this.digitPlaces) : length
+          this.$set(this.QuestionsForm, questionId, length)
+        } else if (obj.imageToolAttribute === 'width') {
+          let short = annotation.data.cachedStats[`imageId:${referencedImageId}`].width
+          val = short ? parseFloat(short).toFixed(this.digitPlaces) : short
+        }
+      }
+      this.$set(this.QuestionsForm, questionId, val)
+      
+      // this.AnswersList.push(this.QuestionsForm)
+      // this.$emit('setFormItemData', {key: this.question.Id, val: this.AnswersList, question: this.question})
+      // this.formItemNumberChange(this.question.Id, true)
+    },
+    async beforeClose(done) {
+      try {
+        // 判断是否有标记未保存
+        let isExistUnSaved = false
+        for(let i = 0; i < this.markTableQuestions.length; i++) {
+          let keyId = this.QuestionsForm.RowId ? `${this.QuestionsForm.RowId}_${this.markTableQuestions[i]}` : this.markTableQuestions[i]
+          if (this.questionsMarkStatus[keyId] && !this.questionsMarkStatus[keyId].isSaved) {
+            isExistUnSaved = true
+            break
+          }
+        }
+        if (isExistUnSaved) {
+          const confirm = await this.$confirm('标记未保存是否确认关闭？', {
+            type: 'warning',
+            distinguishCancelAndClose: true
+          })
+          if (confirm !== 'confirm') return
+          // 清除绑定关系
+          let obj = {}
+          if (!this.QuestionsForm.RowId) {
+            obj.markTableQuestions = this.markTableQuestions
+            obj.questionId = this.question.Id
+            this.$emit('unBindAnnotationToQuestion', obj)
+          }
+          
+          done()
+          // this.$alert('存在标记信息未保存！')
+        } else {
+          done()
+        }
+      } catch (e) {
+
+      }
+    },
     async uploadScreenshot(param) {
       if (!this.visitTaskId) return
       const loading = this.$loading({
@@ -1095,19 +1345,20 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
-.my_dialog{
-  .criterion-form-item{
-    width: 100%;
-    ::v-deep .el-form-item__content{
-      width: auto;
-    }
-    //::v-deep .el-input-goup__append{
-    //  background-color: transparent;
-    //  color: #ddd;
-    //  border: 1px solid #5e5e5e;
-    //}
-  }
+.criterion-form-item {
+// 弹窗层元素不可穿透点击事件（不影响弹窗层元素的点击事件）
+::v-deep .el-dialog{
+  pointer-events:auto;
+  margin-right: 15px !important;
+  margin-top: 30vh !important;
 }
+::v-deep .el-dialog__wrapper{
+  pointer-events:none;
+}
+// .custom-dialog .el-dialog__wrapper {
+//   pointer-events:none;
+// }
+
 ::v-deep .el-form-item__label{
   color: #c3c3c3;
 }
@@ -1124,6 +1375,7 @@ export default {
   color: #ddd;
   border: 1px solid #5e5e5e;
 }
+}
 .criterion-form-item{
   ::v-deep .criterion-form-item .el-form-item{
     display: block;
@@ -1142,30 +1394,31 @@ export default {
   .el-input{
     width:100%;
   }
-.mb{
-  margin-bottom: 0px;
-}
-.disabled{
-  ::v-deep .el-upload--picture-card {
+  .mb{
+    margin-bottom: 0px;
+  }
+  .disabled{
+    ::v-deep .el-upload--picture-card {
+      display: none;
+    }
+  }
+  .uploadWrapper{
+    display: flex;
+    flex-direction: column;
+    align-items: flex-start;
+  }
+  ::v-deep .el-table__body-wrapper::-webkit-scrollbar{
+    height: 10px!important;
+  }
+  ::v-deep .el-table__fixed-right::before{
     display: none;
   }
-}
-.uploadWrapper{
-  display: flex;
-  flex-direction: column;
-  align-items: flex-start;
-}
-}
-::v-deep .el-table__body-wrapper::-webkit-scrollbar{
-  height: 10px!important;
-}
-::v-deep .el-table__fixed-right::before{
-  display: none;
-}
-::v-deep .el-upload-list__item-name{
-  color: #0a84ff;
-  .el-icon-document{
+  ::v-deep .el-upload-list__item-name{
     color: #0a84ff;
+    .el-icon-document{
+      color: #0a84ff;
+    }
   }
 }
+
 </style>
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
index 88466a65..50c191d6 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionList.vue
@@ -39,6 +39,7 @@
             @setFormItemData="setFormItemData"
             @getQuestions="getQuestions"
             @operateImageMarker="operateImageMarker"
+            @unBindAnnotationToQuestion="unBindAnnotationToQuestion"
           />
         </template>
 
@@ -79,10 +80,11 @@
 <script>
 
 import { getCustomTableQuestionAnswer, changeDicomReadingQuestionAnswer, submitVisitTaskQuestionsInDto, getQuestionCalculateRelation, saveTaskQuestion } from '@/api/trials'
-import { setSkipReadingCache, resetReadingTask } from '@/api/reading'
+import { setSkipReadingCache, resetReadingTask, saveTableQuestionMark } from '@/api/reading'
 import const_ from '@/const/sign-code'
 import QuestionFormItem from './QuestionFormItem'
 import SignForm from '@/views/trials/components/newSignForm'
+import store from '@/store'
 export default {
   name: 'EcrfList',
   components: {
@@ -118,13 +120,15 @@ export default {
       isBaseLineTask: false,
       rerender: true,
       questionMarkInfoList: [],
-      operateStateEnum: null, // 0：绑定；1：标记；2：查看；3：更改；4：移除；5：保存
+      operateStateEnum: null, // 0：绑定；1：标记；2：查看；3：更改；4：移除；5：保存；6：更改数值内容；
       operateQuestionId: '',
       operateRowId: '',
+      operateParentQsId: '',
+      isTableQuestion: false,
       imageTool: '',
       imageToolAttribute: '',
       questionsMarkStatus: {},
-      digitPlaces: 2
+      digitPlaces: 2,
     }
   },
   mounted() {
@@ -136,10 +140,10 @@ export default {
     const digitPlaces = Number(localStorage.getItem('digitPlaces'))
     this.digitPlaces = digitPlaces === -1 ? this.digitPlaces : digitPlaces
     this.getQuestionCalculateRelation()
-    this.getQuestions()
+    this.getQuestions(true)
   },
   methods: {
-    async getQuestions() {
+    async getQuestions(isInit) {
       this.loading = true
       try {
         const param = {
@@ -169,7 +173,9 @@ export default {
           this.questions = res.Result.SinglePage
           this.questionsMarkStatus = {}
           this.questionMarkInfoList = res.OtherInfo.QuestionMarkInfoList.map(i => {
-            if (i.QuestionId) {
+            if (i.RowId) {
+              this.$set(this.questionsMarkStatus, `${i.RowId}_${i.TableQuestionId}`, {isMarked: i.MeasureData !== '', isSaved: true})
+            } else if (i.QuestionId) {
               this.$set(this.questionsMarkStatus, i.QuestionId, {isMarked: i.MeasureData !== '', isSaved: true})
             }
             if (typeof i.MeasureData === 'string' && i.MeasureData) {
@@ -177,6 +183,9 @@ export default {
             }
             return i
           })
+          if (!isInit) {
+            this.$emit('resetAnnotations', this.visitTaskId)
+          }
           this.loading = false
         }
       } catch (e) {
@@ -356,9 +365,12 @@ export default {
     },
     async operateImageMarker(obj) {
       this.operateStateEnum = obj.operateStateEnum
-      this.operateQuestionId = obj.question.Id
+      this.isTableQuestion = obj.question.IsTableQuestion ? true : false
       this.imageTool = obj.question.ImageTool
       this.imageToolAttribute = obj.question.ImageToolAttribute
+      this.operateQuestionId = obj.question.Id
+      this.operateRowId = obj.question.RowId
+      this.operateParentQsId = obj.question.ParentQsId
       if (obj.operateStateEnum === 0) { 
         // 绑定标记
         this.$emit('setReadingToolPassive')
@@ -367,7 +379,16 @@ export default {
         this.$emit('setReadingToolActive', obj.question.ImageTool)
       } else if (obj.operateStateEnum === 2) {
         // 查看标记
-        const i = this.questionMarkInfoList.findIndex(i => i.QuestionId === obj.question.Id)
+        let i = -1
+        if (this.isTableQuestion) {
+          if (this.operateRowId) {
+            i = this.questionMarkInfoList.findIndex(i => i.TableQuestionId === obj.question.Id && i.RowId === this.operateRowId)
+          } else {
+            i = this.questionMarkInfoList.findIndex(i => i.TableQuestionId === obj.question.Id && !i.RowId)
+          }
+        } else {
+          i = this.questionMarkInfoList.findIndex(i => i.QuestionId === obj.question.Id)
+        }
         if (i > -1) {
           const annotation = this.questionMarkInfoList[i].MeasureData
           this.$emit('viewCustomAnnotationSeries', { visitTaskId: this.visitTaskId, annotation })
@@ -378,17 +399,29 @@ export default {
       } else if (obj.operateStateEnum === 4) {
         this.$emit('setReadingToolPassive')
         // 移除标记
-        this.$set(this.questionForm, obj.question.Id, '')
-        const i = this.questionMarkInfoList.findIndex(i => i.QuestionId === obj.question.Id)
-        if (i > -1) {
-          this.questionMarkInfoList[i].MeasureData = ''
-          this.questionMarkInfoList[i].StudyId = ''
-          this.questionMarkInfoList[i].SeriesId = ''
-          this.questionMarkInfoList[i].InstanceId = ''
+        let i = -1
+        let questionMarkInfo = {}
+        if (this.isTableQuestion) {
+          if (this.operateRowId) {
+            i = this.questionMarkInfoList.findIndex(i => i.TableQuestionId === obj.question.Id && i.RowId === this.operateRowId)
+          } else {
+            i = this.questionMarkInfoList.findIndex(i => i.TableQuestionId === obj.question.Id && !i.RowId)
+          }
+        } else {
+          this.$set(this.questionForm, obj.question.Id, '')
+          i = this.questionMarkInfoList.findIndex(i => i.QuestionId === obj.question.Id)
         }
-        this.$set(this.questionsMarkStatus, obj.question.Id, {isMarked: false, isSaved: false})
+        if (i === -1) return
+        this.questionMarkInfoList[i].MeasureData = ''
+        this.questionMarkInfoList[i].StudyId = ''
+        this.questionMarkInfoList[i].SeriesId = ''
+        this.questionMarkInfoList[i].InstanceId = ''
+        questionMarkInfo = this.questionMarkInfoList[i]
+        questionMarkInfo.isMarked = false
+        questionMarkInfo.isSaved = false
+        this.$set(this.questionsMarkStatus, this.operateRowId ? `${this.operateRowId}_${obj.question.Id}` : obj.question.Id, questionMarkInfo)
       } else if (obj.operateStateEnum === 5) {
-        // 保存标记
+        // 保存外层标记
         this.loading = true
         try {
           const answers = []
@@ -400,6 +433,7 @@ export default {
             obj.MeasureData = obj.MeasureData ? JSON.stringify(obj.MeasureData) : ''
             markInfo.push(obj)
           }
+          // 上传截图
           const params = {
             visitTaskId: this.visitTaskId,
             answers: answers,
@@ -414,14 +448,93 @@ export default {
           this.loading = false
         }
       } else if (obj.operateStateEnum === 6) {
-        // 更改答案
-        this.$set(this.questionsMarkStatus, obj.question.Id, {isMarked: false, isSaved: false})
+        // 更改数值内容
+        let questionMarkInfo = {}
+        if (this.isTableQuestion) {
+          questionMarkInfo.isMarked = false
+          questionMarkInfo.isSaved = false
+        } else {
+          questionMarkInfo.isMarked = false
+          questionMarkInfo.isSaved = false
+        }
+        this.$set(this.questionsMarkStatus, this.operateRowId ? `${this.operateRowId}_obj.question.Id` : obj.question.Id, questionMarkInfo)
+      } else if (obj.operateStateEnum === 7) {
+        // 保存表格问题标记
+        const loading = this.$loading({ fullscreen: true })
+        try {
+          let annotation = null
+          if (!this.operateRowId && this.operateQuestionId && obj.rowId) {
+            const i = this.questionMarkInfoList.findIndex(i => i.TableQuestionId === this.operateQuestionId && !i.RowId)
+            if (i === -1) return
+            this.questionMarkInfoList[i].RowId = obj.rowId
+            this.operateRowId = obj.rowId
+            annotation = this.questionMarkInfoList[i].MeasureData
+            let questionMarkStatus = Object.assign({}, this.questionsMarkStatus[this.operateQuestionId])
+            delete this.questionsMarkStatus[this.operateQuestionId]
+            this.$set(this.questionsMarkStatus, `${obj.rowId}_${this.operateQuestionId}`, questionMarkStatus)
+          } else if (this.operateRowId && this.operateQuestionId) {
+            const i = this.questionMarkInfoList.findIndex(i => i.RowId === this.operateRowId && i.TableQuestionId === this.operateQuestionId)
+            if (i === -1) return
+            annotation = this.questionMarkInfoList[i].MeasureData
+          }
+          let picturePath = ''
+          if (annotation) {
+            // 上传截图
+            const base64Str = await this.getScreenshots({ visitTaskId: this.visitTaskId, annotation })
+            const pictureObj = await this.uploadScreenshots(`${new Date().getTime()}`, base64Str)
+            picturePath = pictureObj.isSuccess ? this.$getObjectName(pictureObj.result.url) : ''
+          }
+          let params = {
+            Answer: obj.answer,
+            VisitTaskId: this.visitTaskId,
+            QuestionId: obj.question.ParentQsId,
+            InstanceId: annotation ? annotation.instanceId : '',
+            SeriesId: annotation ? annotation.seriesId : '',
+            StudyId: annotation ? annotation.studyId : '',
+            MarkTool: annotation ? annotation.markTool : '',
+            PicturePath: picturePath,
+            NumberOfFrames: annotation ? annotation.numberOfFrames : null,
+            MeasureData: annotation ? JSON.stringify(annotation) : '',
+            QuestionType: 0,
+            OrderMarkName: annotation ? annotation.data.label : '',
+            RowId: this.operateRowId,
+            TableQuestionId: this.operateQuestionId,
+            RowIndex: obj.rowIndex
+          }
+          // 保存标记
+          await saveTableQuestionMark(params, -10)
+          this.$set(this.questionsMarkStatus, `${this.operateRowId}_${this.operateQuestionId}`, {isMarked: annotation ? true : false, isSaved: true})
+          this.resetOperateState()
+          loading.close()
+        } catch(e) {
+          console.log(e)
+          loading.close()
+        }
       }
     },
+    
     async bindAnnotationToQuestion(annotation) {
+      console.log('bindAnnotationToQuestion')
       try {
-        if (!(this.operateStateEnum === 0 || this.operateStateEnum === 1 || this.operateStateEnum === 3)) return
+        if (!(this.operateStateEnum === null || this.operateStateEnum === 0 || this.operateStateEnum === 1 || this.operateStateEnum === 3)) return
         if (this.operateStateEnum === 1 && annotation.markTool !== this.imageTool) return
+        if (this.operateStateEnum === null) {
+          for(let i = 0; i < this.questionMarkInfoList.length; i++) {
+            if (this.questionMarkInfoList[i].MeasureData.annotationUID === annotation.annotationUID) {
+              this.questionMarkInfoList[i].MeasureData = annotation
+              if (this.questionMarkInfoList[i].TableQuestionId) {
+                store.dispatch('dicom3d/setOperateInfo', {annotation, parentQsId: this.questionMarkInfoList[i].QuestionId, questionId: this.questionMarkInfoList[i].TableQuestionId,  rowId: this.questionMarkInfoList[i].RowId, imageToolAttribute: this.questionMarkInfoList[i].MarkTool})
+               
+                let keyId = i > -1 && this.questionMarkInfoList[i].RowId ? `${this.questionMarkInfoList[i].RowId}_${this.questionMarkInfoList[i].TableQuestionId}` : this.questionMarkInfoList[i].TableQuestionId
+                this.$set(this.questionsMarkStatus, keyId, {isMarked: true, isSaved: false})
+              } else {
+                this.setAnswerToQuestion(annotation, this.questionMarkInfoList[i].QuestionId)
+                this.$set(this.questionsMarkStatus, this.questionMarkInfoList[i].QuestionId, {isMarked: true, isSaved: false})
+              }
+            }
+          }
+          return
+        }
         if (!this.operateQuestionId) return
         if (this.operateStateEnum === 0 || this.operateStateEnum === 3) {
           if (!annotation.data.label) {
@@ -432,6 +545,14 @@ export default {
             this.$alert('该标记不能与问题绑定！')
             return
           }
+          // 判断标记是否跟其他rowId绑定
+          if (this.operateStateEnum === 3) {
+            const i = this.questionMarkInfoList.findIndex(i=>i.MeasureData.annotationUID === annotation.annotationUID && i.RowId !== this.operateRowId)
+            if (i > -1) {
+              this.$alert('该标记已绑定到其他行，不能更改绑定！')
+              return
+            }
+          }
           let msg = this.operateStateEnum === 0 ? '是否确认绑定？' : '是否确认更改？'
           const confirm = await this.$confirm(msg, {
             type: 'warning',
@@ -439,19 +560,26 @@ export default {
           })
           if (confirm !== 'confirm') return
         }
-        console.log('bindAnnotationToQuestion', annotation)
-
-        const i = this.questionMarkInfoList.findIndex(i => i.QuestionId === this.operateQuestionId)
+        let i = -1
+        if (this.isTableQuestion && this.operateRowId) {
+          i = this.questionMarkInfoList.findIndex(i => i.TableQuestionId === this.operateQuestionId && i.RowId === this.operateRowId)
+        } else if (this.isTableQuestion) {
+          i = this.questionMarkInfoList.findIndex(i => i.TableQuestionId === this.operateQuestionId && !i.RowId)
+        } else {
+          i = this.questionMarkInfoList.findIndex(i => i.QuestionId === this.operateQuestionId)
+        }
         if (i === -1) {
           const markInfo = {
-            QuestionId: this.operateQuestionId,
             InstanceId: annotation.instanceId,
             SeriesId: annotation.seriesId,
             StudyId: annotation.studyId,
             MarkTool: annotation.metadata.toolName,
             PicturePath: '',
             NumberOfFrames: annotation.numberOfFrames,
-            MeasureData: annotation
+            MeasureData: annotation,
+            RowId: this.operateRowId ? this.operateRowId : '',
+            QuestionId: this.isTableQuestion ? this.operateParentQsId : this.operateQuestionId,
+            TableQuestionId: this.isTableQuestion ? this.operateQuestionId : '',
           }
           this.questionMarkInfoList.push(markInfo)
         } else {
@@ -463,8 +591,20 @@ export default {
           this.questionMarkInfoList[i].NumberOfFrames = annotation.numberOfFrames
           this.questionMarkInfoList[i].MeasureData = annotation
         }
-        this.setAnswerToQuestion(annotation, this.operateQuestionId)
-        this.$set(this.questionsMarkStatus, this.operateQuestionId, {isMarked: true, isSaved: false})
+        let obj = null
+        if (this.isTableQuestion) {
+          obj = {isMarked: true, isSaved: false}
+          store.dispatch('dicom3d/setOperateInfo', {annotation, parentQsId: this.operateParentQsId, questionId: this.operateQuestionId,  rowId: this.operateRowId, imageToolAttribute: this.imageToolAttribute})
+
+          let keyId = i > -1 && this.questionMarkInfoList[i].RowId ? `${this.questionMarkInfoList[i].RowId}_${this.questionMarkInfoList[i].TableQuestionId}` : this.operateRowId ? `${this.operateRowId}_${this.operateQuestionId}` : this.operateQuestionId
+          this.$set(this.questionsMarkStatus, keyId, obj)
+        } else {
+          obj = {isMarked: true, isSaved: false}
+          this.setAnswerToQuestion(annotation, this.operateQuestionId)
+          this.$set(this.questionsMarkStatus, this.operateQuestionId, obj)
+        }
+        this.operateStateEnum === null
+        
       } catch (e) {
         console.log(e)
       }
@@ -472,9 +612,25 @@ export default {
     updateAnnotationToQuestion(annotation) {
       const i = this.questionMarkInfoList.findIndex(i => i.MeasureData && i.MeasureData.annotationUID === annotation.annotationUID)
       if (i === -1) return
-      this.questionMarkInfoList[i].measureData = annotation
-      this.setAnswerToQuestion(annotation, this.questionMarkInfoList[i].QuestionId)
-      this.$set(this.questionsMarkStatus, this.questionMarkInfoList[i].QuestionId, {isMarked: true, isSaved: false})
+      this.questionMarkInfoList[i].MeasureData = annotation
+      let obj = null
+      if (this.isTableQuestion || this.questionMarkInfoList[i].TableQuestionId) {
+        this.operateParentQsId = this.operateParentQsId ? this.operateParentQsId : this.questionMarkInfoList[i].QuestionId
+        this.operateQuestionId = this.operateQuestionId ? this.operateQuestionId : this.questionMarkInfoList[i].TableQuestionId
+        this.operateRowId = this.operateRowId ? this.operateRowId : this.questionMarkInfoList[i].RowId
+        this.imageToolAttribute = this.imageToolAttribute ? this.imageToolAttribute : annotation.metadata.toolName
+        obj = {isMarked: true, isSaved: false}
+        store.dispatch('dicom3d/setOperateInfo', {annotation, parentQsId: this.operateParentQsId, questionId: this.operateQuestionId, rowId: this.operateRowId, imageToolAttribute: this.imageToolAttribute})
+        let keyId = this.questionMarkInfoList[i].RowId ? `${this.questionMarkInfoList[i].RowId}_${this.questionMarkInfoList[i].TableQuestionId}` : this.questionMarkInfoList[i].TableQuestionId
+        this.$set(this.questionsMarkStatus, keyId, obj)
+
+      } else {
+        obj = {isMarked: true, isSaved: false}
+        this.setAnswerToQuestion(annotation, this.questionMarkInfoList[i].QuestionId)
+        this.$set(this.questionsMarkStatus, this.questionMarkInfoList[i].QuestionId, obj)
+      }
+      
+      
     },
     setAnswerToQuestion(annotation, questionId) {
       if (!questionId || !annotation) return
@@ -495,6 +651,61 @@ export default {
         }
       }
     },
+    unBindAnnotationToQuestion(obj) {
+      const { markTableQuestions = [], questionId } = obj || {}
+      const { questionMarkInfoList, questionsMarkStatus } = this
+      if (!Array.isArray(markTableQuestions) || !questionId || !Array.isArray(questionMarkInfoList)) {
+        return
+      }
+      this.questionMarkInfoList = questionMarkInfoList.filter(item => {
+        const { TableQuestionId, QuestionId } = item || {}
+        if ((TableQuestionId && QuestionId === questionId && markTableQuestions.includes(TableQuestionId))) {
+          if (questionsMarkStatus && questionsMarkStatus[TableQuestionId]) {
+            delete questionsMarkStatus[TableQuestionId]
+          }
+        } else {
+          return
+        }
+      })
+    },
+    // 获取截图
+    getScreenshots(obj) {
+      return new Promise((resolve, reject) => {
+        this.$emit('getCustomScreenshots', obj, resolve) // 将resolve传递给父组件
+      })
+    },
+    async uploadScreenshots(fileName, file) {
+      try {
+        file = this.convertBase64ToBlob(file)
+        const trialId = this.$route.query.trialId
+        const taskInfo = JSON.parse(localStorage.getItem('taskInfo'))
+        const subjectId = taskInfo.SubjectId
+        const result = await this.OSSclient.put(`/${trialId}/Read/${subjectId}/Visit/${fileName}.png`, file)
+        return { isSuccess: true, result: result }
+      } catch (e) {
+        console.log(e)
+        return { isSuccess: false, result: e }
+      }
+    },
+    convertBase64ToBlob(imageEditorBase64) {
+      const base64Arr = imageEditorBase64.split(',')
+      let imgtype = ''
+      let base64String = ''
+      if (base64Arr.length > 1) {
+        base64String = base64Arr[1]
+        imgtype = base64Arr[0].substring(
+          base64Arr[0].indexOf(':') + 1,
+          base64Arr[0].indexOf(';')
+        )
+      }
+      const bytes = atob(base64String)
+      const bytesCode = new ArrayBuffer(bytes.length)
+      const byteArray = new Uint8Array(bytesCode)
+      for (let i = 0; i < bytes.length; i++) {
+        byteArray[i] = bytes.charCodeAt(i)
+      }
+      return new Blob([bytesCode], { type: imgtype })
+    },
     resetOperateState() {
       console.log('resetOperateState')
       this.operateStateEnum = null
@@ -513,13 +724,14 @@ export default {
         }
       )
       if (confirm !== 'confirm') return
+      this.$emit('setReadingToolPassive')
       const loading = this.$loading({ fullscreen: true })
       try {
         const res = await resetReadingTask({ visitTaskId: this.visitTaskId })
         if (res.IsSuccess) {
           this.rerender = false
           await this.getQuestionCalculateRelation()
-          await this.getQuestions()
+          await this.getQuestions(true)
           this.$emit('resetAnnotations', this.visitTaskId)
           this.$nextTick(() => {
             this.rerender = true
diff --git a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionTableFormItem.vue b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionTableFormItem.vue
index 0a34a34c..92700433 100644
--- a/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionTableFormItem.vue
+++ b/src/views/trials/trials-panel/reading/dicoms3D/components/customize/QuestionTableFormItem.vue
@@ -1,5 +1,5 @@
 <template>
-  <div class="criterion-form-item">
+  <div class="criterion-table-form-item">
     <el-form-item
       v-if="(question.ShowQuestion===1 && !!~question.ParentTriggerValueList.indexOf(questionForm[question.ParentId])) || question.ShowQuestion===0"
       :label="`${question.QuestionName}`"
@@ -142,26 +142,100 @@
         disabled
       />
       <!-- 数值 -->
-      <!-- :precision="2" :step="0.1" :max="10" -->
-      <el-input
-        type="number"
-        v-if="question.Type === 'number' && question.DataSource !== 1"
-        :disabled="question.TableQuestionType === 2 || (question.IsCopy && type === 'edit' && !isBaseline && questionForm.IsCurrentTaskAdd === 'False')"
-        @change="((val)=>{formItemNumberChange(val, question)})"
-        @blur="handleBlur(questionForm[question.Id], questionForm, question.Id)"
-        v-model="questionForm[question.Id]"
-      >
-        <template slot="append" v-if="question.Unit !== 0">{{question.Unit !== 4 ? $fd('ValueUnit', question.Unit) : question.CustomUnit}}</template>
-      </el-input>
-      <el-input
-        type="number"
-        v-if="question.Type === 'number' && question.DataSource === 1"
-        :disabled="question.DataSource === 1"
-        @blur="handleCalculationBlur(calculationValue)"
-        v-model="calculationValue"
-      >
-        <template slot="append" v-if="question.Unit !== 0">{{question.Unit !== 4 ? $fd('ValueUnit', question.Unit) : question.CustomUnit}}</template>
-      </el-input>
+      <template v-if="question.Type === 'number' && (question.ImageMarkEnum === 1 || question.ImageMarkEnum === 2)">
+        <div style="display: flex;flex-direction: row;justify-content: flex-start;align-items: center;">
+          <el-input
+            type="number"
+            @change="(val) => { formItemNumberChange(val, question) }"
+            @blur="questionsMarkStatus[question.Id] && questionsMarkStatus[question.Id].isMarked ? ()=>{} : handleMarkedQsBlur(questionForm[question.Id], questionForm, question.Id, question) "
+            v-model="questionForm[question.Id]"
+            :disabled="(questionsMarkStatus[question.Id] && questionsMarkStatus[question.Id].isMarked && question.ImageMarkEnum === 2) || question.ImageMarkEnum === 1"
+            style="width: 150px;"
+          >
+            <template v-if="question.Unit !== 0" slot="append">
+              {{ question.Unit !== 4 ? $fd('ValueUnit', question.Unit) : question.CustomUnit }}
+            </template>
+          </el-input>
+          <!-- 测量 -->
+          <el-button 
+            v-if="readingTaskState < 2 && (!questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] || (questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] && !questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id].isMarked))" 
+            size="mini" 
+            type="text"
+            @click="operateImageMarker({operateStateEnum: 1, question})"
+          >
+            测量
+          </el-button>
+          <!-- 绑定 -->
+          <el-button 
+            v-if="readingTaskState < 2 && (!questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] || (questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] && !questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id].isMarked))" 
+            size="mini" 
+            type="text"
+            @click="operateImageMarker({operateStateEnum: 0, question})"
+          >
+            绑定
+          </el-button>
+          <!-- 查看 -->
+          <el-button 
+            v-if="questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] && questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id].isMarked"
+            size="mini" 
+            type="text"
+            @click="operateImageMarker({operateStateEnum: 2, question})"
+          >
+            查看
+          </el-button>
+          <!-- 更改 -->
+          <el-button 
+            v-if="readingTaskState < 2 && (questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] && questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id].isMarked)" 
+            size="mini" 
+            type="text"
+            @click="operateImageMarker({operateStateEnum: 3, question})"
+          >
+            更改
+          </el-button>
+          <!-- 移除 -->
+          <el-button 
+            v-if="readingTaskState < 2 && (questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] && questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id].isMarked)" 
+            size="mini" 
+            type="text"
+            @click="operateImageMarker({operateStateEnum: 4, question})"
+          > 
+            移除
+          </el-button>
+          <!-- 保存 -->
+          <el-button 
+            v-if="readingTaskState < 2 && (questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] && !questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id].isSaved)" 
+            size="mini" 
+            type="text"
+            @click="operateImageMarker({operateStateEnum: 7, question})"
+          >
+            <el-tooltip v-if="questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id] && !questionsMarkStatus[rowId ? `${rowId}_${question.Id}` : question.Id].isSaved" class="item" effect="dark" :content="$t('trials:reading:button:unsaved')" placement="bottom">
+              <i class="el-icon-warning" style="color:red" />
+            </el-tooltip>
+            保存
+          </el-button>
+        </div>
+      </template>
+      <template v-else-if="question.Type === 'number'">
+        <el-input
+          type="number"
+          v-if="question.Type === 'number' && question.DataSource !== 1"
+          :disabled="question.TableQuestionType === 2 || (question.IsCopy && type === 'edit' && !isBaseline && questionForm.IsCurrentTaskAdd === 'False')"
+          @change="((val)=>{formItemNumberChange(val, question)})"
+          @blur="handleBlur(questionForm[question.Id], questionForm, question.Id)"
+          v-model="questionForm[question.Id]"
+        >
+          <template slot="append" v-if="question.Unit !== 0">{{question.Unit !== 4 ? $fd('ValueUnit', question.Unit) : question.CustomUnit}}</template>
+        </el-input>
+        <el-input
+          type="number"
+          v-if="question.Type === 'number' && question.DataSource === 1"
+          :disabled="question.DataSource === 1"
+          @blur="handleCalculationBlur(calculationValue)"
+          v-model="calculationValue"
+        >
+          <template slot="append" v-if="question.Unit !== 0">{{question.Unit !== 4 ? $fd('ValueUnit', question.Unit) : question.CustomUnit}}</template>
+        </el-input>
+      </template>
       <!-- 上传图像 -->
       <el-upload
         v-if="question.Type==='upload'"
@@ -231,6 +305,7 @@
   </div>
 </template>
 <script>
+import { submitTableQuestion } from '@/api/trials'
 export default {
   name: 'QuestionTableFormItem',
   props: {
@@ -271,7 +346,17 @@ export default {
     type: {
       type: String,
       default: 'add'
-    }
+    },
+    questionsMarkStatus: {
+      type: Object,
+      default() {
+        return {}
+      }
+    },
+    parentQsId: {
+      type: String,
+      default: ''
+    },
   },
   computed: {
     calculationValue: {
@@ -294,7 +379,8 @@ export default {
       organList: [],
       QuestionsList: [],
       QuestionsForm: {},
-      digitPlaces: 2
+      digitPlaces: 2,
+      rowId: ''
     }
   },
   watch: {
@@ -307,10 +393,19 @@ export default {
         // } catch (e) {
         // }
         // this.formItemNumberChange(this.question.Id, false)
+        this.rowId = this.questionForm.RowId
       }
     },
+    questionsMarkStatus: {
+      deep: true,
+      immediate: true,
+      handler(v) {
+        // console.log(v, this.rowId)
+      }
+    }
   },
   mounted() {
+    
     var digitPlaces = Number(localStorage.getItem('digitPlaces'))
     this.digitPlaces = digitPlaces === -1 ? this.digitPlaces : digitPlaces
     if (this.question.Type === 'upload') {
@@ -356,6 +451,11 @@ export default {
     handleBlur(value, a, b) {
       this.$set(a, b, parseFloat(value).toFixed(this.digitPlaces))
     },
+    handleMarkedQsBlur(value, a, b, question) {
+      this.$set(a, b, parseFloat(value).toFixed(this.digitPlaces))
+      question.IsTableQuestion = true
+      // this.$emit('operateImageMarker', {operateStateEnum: 6, question})
+    },
     handleCalculationBlur(v) {
       this.calculationValue = parseFloat(v).toFixed(this.digitPlaces)
     },
@@ -477,6 +577,39 @@ export default {
     setFormItemData(obj) {
       this.$emit('setFormItemData', obj)
     },
+    async operateImageMarker(obj) {
+      obj.question.IsTableQuestion = true
+      obj.question.RowId = this.rowId
+      obj.question.ParentQsId = this.parentQsId
+      if (obj.operateStateEnum === 7) {
+        // 保存表格问题标记
+        // if (!obj.question.RowId) {
+        //   // 生成rowId
+        //   const loading = this.$loading({ fullscreen: true })
+        //   try {
+        //     let params = {
+        //       questionId: this.parentQsId,
+        //       RowIndex: this.questionForm.RowIndex,
+        //       visitTaskId: this.visitTaskId,
+        //       trialId: this.$route.query.trialId,
+        //       answerList: [],
+        //     }
+        //     let res = await submitTableQuestion(params)
+        //     // this.$emit('save',rowId)
+        //     this.QuestionsForm.RowId = res.Result.RowId
+        //     obj.rowId = res.Result.RowId
+        //     this.rowId = res.Result.RowId
+        //     loading.close()
+        //   } catch(e) {
+        //     loading.close()
+        //   }
+        // }
+        obj.rowIndex = this.questionForm.RowIndex
+        // obj.parentQsId = this.parentQsId
+        obj.answer = this.questionForm[obj.question.Id]
+      }
+      this.$emit('operateImageMarker', obj)
+    },
     async uploadScreenshot(param) {
       if (!this.visitTaskId) return
       const loading = this.$loading({
@@ -541,25 +674,19 @@ export default {
 }
 </script>
 <style lang="scss" scoped>
-.my_dialog{
-  .criterion-form-item{
-    ::v-deep .el-form-item__content{
-      width: auto;
-    }
-  }
-}
-.criterion-form-item{
+
+.criterion-table-form-item{
   .el-form-item{
     display: flex;
     flex-direction: row;
     align-items: flex-start;
   }
-  ::v-deep .el-form-item__content{
-    width: 500px;
-  }
   .el-input{
     width:100%;
   }
+  .el-select {
+    width:100%;
+  }
   .mb{
     margin-bottom: 0px;
   }